Department of Thoracic and Cardiovascular Surgery, Wakayama Medical University, Kimiidera, Wakayama, Wakayama, Japan.
Gen Thorac Cardiovasc Surg. 2020 Dec;68(12):1472-1474. doi: 10.1007/s11748-020-01296-4. Epub 2020 Jan 31.
We here report two patients with Marfan syndrome treated by a combination of surgical grafting and endovascular repair in our hospital. One was a 32-year-old woman who underwent thoracoabdominal aortic replacement for a Crawford type III dissected aortic aneurysm. Subsequently, the Bentall procedure and total arch replacement was performed for an aortic root and arch aneurysm. Finally, thoracic endovascular aortic repair bridging implanted grafts was performed. The second was a 67-year-old woman with Stanford type A acute aortic dissection who underwent the Bentall procedure and total arch replacement at the age of 64. Subsequently, she underwent thoracoabdominal replacement for a dilated dissected aortic aneurysm and finally, bridging endovascular aortic repair was performed. This procedure is less invasive than open repair for patients with Marfan syndrome.
我们在此报告两例在我院接受手术移植和血管内修复联合治疗的马凡综合征患者。一例为 32 岁女性，因 Crawford Ⅲ型夹层主动脉瘤行胸腹主动脉置换术，随后行 Bentall 手术和全弓置换术治疗主动脉根部和弓部动脉瘤，最后行胸主动脉腔内修复术桥接植入移植物。另一例为 67 岁女性，Stanford A 型急性主动脉夹层，64 岁时行 Bentall 手术和全弓置换术，随后因扩张性夹层主动脉瘤行胸腹主动脉置换术，最后行血管内修复桥接治疗。与开放修复相比，该手术对马凡综合征患者的创伤较小。
